Strategic Credentialing & Compliance Lead

HealthFirst; Salem (NH); On-site; USD 42,000 - 66,000; Full time

Job summary

Healthfirst is seeking a Credentialing Specialist to credential and re-credential providers, facilities, and vendors in accordance with regulations. The role prepares directories, reviews data for accuracy, and creates presentations for quarterly credentialing and vendor oversight committees.

You will identify opportunities to improve processes to ensure regulatory compliance and correct handling of sensitive information; a bachelor’s degree and strong Microsoft Office skills are required.

Qualifications

• Bachelor’s degree required.
• Strong time and project management, critical/creative thinking, communication, and problem-solving skills.
• Intermediate Microsoft Office skills include Excel, Word, PowerPoint, Access, and Adobe.

Responsibilities

• Credential and re-credential providers, facilities, and vendors.
• Prepare hard-copy directories and review provider data for accuracy.
• Prepare presentations for quarterly credentialing and delegate vendor oversight committee meetings.
• Identify opportunities to improve processes to ensure regulatory compliance.

Skills

Credentialing knowledge

Attention to detail

Regulatory compliance awareness

Communication skills

Time management

Education

Bachelor’s degree

Tools

Microsoft Office

Excel

Word

PowerPoint

Access

Adobe

Job description

Healthfirst is seeking a Credentialing Specialist to credential and re-credential providers, facilities, and vendors in accordance with regulations. The role prepares directories, reviews data for accuracy, and creates presentations for quarterly credentialing and vendor oversight committees.

You will identify opportunities to improve processes to ensure regulatory compliance and correct handling of sensitive information; a bachelor’s degree and strong Microsoft Office skills are required.